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The new epidemic in children: penetrating injuries

J R Hall1, H M Reyes, J L Meller

  • 1Department of Surgery, Cook County Hospital, Chicago, Illinois 60612-9985, USA.

The Journal of Trauma
|September 1, 1995
PubMed

Insights

Penetrating trauma, primarily from gunshot wounds, has surged in children, reaching epidemic levels. This trend significantly impacts pediatric trauma centers, especially among adolescents.

Area of Science:

  • Pediatric Trauma Care
  • Injury Epidemiology
  • Public Health

Background:

  • A concerning rise in penetrating injuries among children has been hypothesized.
  • Understanding the characteristics of this trend is crucial for effective intervention.

Purpose of the Study:

  • To verify the hypothesis of a "new" epidemic of penetrating injuries in children.
  • To document the key characteristics of these injuries.

Main Methods:

  • A 7-year retrospective review of trauma registry data.
  • Analysis conducted at an urban pediatric trauma center (UPTC) for patients under 16.

Main Results:

  • Admissions for penetrating injuries at the UPTC increased significantly over 7 years.
  • Gunshot wounds were the primary driver of this increase.
  • In children aged 12-15, penetrating injury incidence rose from 45% to 66%.

Conclusions:

  • Penetrating trauma in children has escalated to epidemic proportions.
  • The findings underscore the urgent need for targeted prevention strategies and improved pediatric trauma management.
Abstract

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